An 85-year-old person has a urinary tract infection. What clinical manifestation do you expect to see in this person?
Pyuria, urgency, and frequency
Dysuria, frequency, and suprapubic pain
Confusion and frequency
Hematuria and flank pain
The Correct Answer is C
Choice A reason: Pyuria, urgency, and frequency are typical UTI symptoms, but elderly patients often present with atypical signs like confusion. Confusion is more prominent in this age group, so this is less specific and incorrect.
Choice B reason: Dysuria, frequency, and suprapubic pain are common UTI symptoms, but elderly patients may show confusion instead of classic signs. Confusion and frequency are more likely, so this is incorrect.
Choice C reason: In elderly patients (85 years), UTIs often cause confusion due to altered mental status, alongside frequency. Atypical symptoms like confusion are common, making this the correct manifestation for this age group.
Choice D reason: Hematuria and flank pain suggest complicated UTIs or kidney issues, not typical in elderly UTI presentation. Confusion and frequency are more expected, so this is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Achalasia increases aspiration risk due to esophageal dysmotility. Oropharyngeal suctioning equipment at the bedside ensures airway safety, making this a critical intervention to prioritize in the care plan.
Choice B reason: Small, frequent meals reduce esophageal pressure in achalasia, easing swallowing and minimizing regurgitation. This dietary adjustment is essential for symptom management, making it a correct intervention to prioritize.
Choice C reason: Thickened fluids only may not be necessary; achalasia patients can often manage various consistencies with proper positioning. Other interventions like suctioning and small meals are more critical, so this is incorrect.
Choice D reason: Antiemetics before meals reduce nausea and vomiting, common in achalasia due to food retention. This improves patient comfort and nutrition, making it a correct intervention to prioritize in care.
Choice E reason: Elevating the head of the bed prevents regurgitation and aspiration in achalasia, especially during sleep. This positioning is a key safety measure, making it a correct intervention to prioritize.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Red blood cells are not a direct measure of inflammation; they assess anemia or oxygen-carrying capacity. Inflammation is measured by WBC, ESR, and fever, which reflect immune activity and systemic response, so this is incorrect for inflammation measurement.
Choice B reason: White blood cells (WBC) increase during inflammation (leukocytosis), indicating immune activation. This is a standard laboratory measure of inflammatory processes, making it a correct choice for assessing inflammation in clinical practice.
Choice C reason: Erythrocyte sedimentation rate (ESR) measures how quickly red blood cells settle, rising with inflammation due to increased proteins. It’s a common marker for inflammatory conditions, making it a correct selection for measuring inflammation.
Choice D reason: Fever is a clinical sign of inflammation, driven by cytokines like IL-6. It’s a systemic response measured via temperature, making it a correct choice for assessing inflammation alongside laboratory markers like WBC and ESR.
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